Statement of Conversion: Any Entity Converting to Domestic Limited Partnership 08-0581 New 07/01/2014 Instructions Page 1 of 4 STATEMENT OF CONVERSION Specifically for Any Entity Converting to a Domestic (Alaskan) Limited Partnership Under the Alaska Entity Transaction Act AS 10.55.401-10.55.406 and AS 32.11.010 $175.00 Filing Fee $25.00 Statement of Conversion Filing Fee (non-refundable) $150.00 Certificate of Limited Partnership Filing Fee (non-refundable) INSTRUCTIONS FOR STATEMENT OF CONVERSION (Please retain for your records): NOTICE: The Statement of Conversion will not be filed if a biennial report is due. Please verify the following for the converting entity before completing the application: Is the qualified entity (on record with this division) in 223Good Standing224 status? Have all required biennial reports been filed? Are the officials on record correct, current and up to date? (Used to verify signatures for this filing.) Is the Registered Agent information on record correct, current and up to date? To verify the above information you may search for the entity by going to the above website, click License Search and under Search License Data select Corporations. If there is a biennial report due, it may be filed online (for immediate posting) by selecting Biennial Reports on the above website. If the officials have changed and there is no biennial report due then please submit a Notice of Change of Officials located on the above website under Forms and Fees. Select the appropriate version based on your entity type. If the Registered Agent information needs to be updated please submit a Statement of Change located on the above website under Forms and Fees. Select the appropriate version based on your entity type. WHAT IS A CONVERSION? Conversion (when an entity changes/transforms from one type of entity into a different type of entity) means a transaction authorized by AS 10.55.401-10.55.406, with the exception of the entities excluded under AS 10.55.110. Under this: Any domestic (Alaska) entity may become a domestic (Alaskan) limited partnership. Any foreign (non-Alaska) entity may become a domestic (Alaskan) limited partnership if the conversion is authorized by the law of the foreign jurisdiction. NOTICE: The Statement of Conversion must be filed in conjunction with the Certificate of Limited Partnership (attached to this form) for a domestic (Alaskan) Limited Partnership and the applicable $150.00 fee (which is already included in the above stated filing fees). Corporations Section State Office Building, 333 Willoughby Avenue, 9th Floor PO Box 110806, Juneau, AK 99811-0806 Phone: (907) 465-2550 Fax: (907) 465-2974 Email: corporations@alaska.gov Website: http://commerce.alaska.gov/cbpl/corp ALASKADepartment of Commerce, Community, and Economic DevelopmentDivision of Corporations, Business and Professional Licensing THESTATEof American LegalNet, Inc. www.FormsWorkFlow.com Statement of Conversion: Any Entity Converting to Domestic Limited Partnership 08-0581 New 07/01/2014 Instructions Page 2 of 4 ITEM 1: Provide the name of the converting (changing from) entity, the Alaska Entity # (if applicable), State of domicile or jurisdiction, type of entity (changing from). ITEM 2: Name of the converted (changing to) domestic (Alaskan) limited partnership must include the words 223limited partnership224 without abbreviation. The name of a limited partnership as set out in its certificate of limited partnership must contain without abbreviation the words 223limited partnership224; May not contain the name of a limited partner unless it is also the name of a general partner or the corporate name of a corporate general partners; or the business of the limited partnership had been carried on under that name before the admission of that limited partner. A name must be distinguishable upon the record. To search the availability of the legal name of the corporation in the State of Alaska go to the above website, click License Search, and select Search Corporations Database. NOTE: the name of the limited partnership in Item #2 of the Statement of Conversion must match the name in Item #1 on the Certificate of Limited Partnership attached to this filing.) ITEM 3: (Optional) The future effective date of conversion, if different from date of filing, must be a specific future date and cannot exceed 90 days from date of filing. Future effective date (mm/dd/yyyy format). ITEM 4: This statement is required by statute. Please read through and verify. ITEM 5: The converted (changed to) entity (listed in Item #2 above) is a domestic (Alaskan) filing entity; therefore the text of the converted entity222s articles of organization must be attached to this Statement of Conversion. Choose only one of the options below. Complete the attached Certificate of Limited Partnership portion of this form. -OR- Provide a Certificate of Limited Partnership, which satisfy the requirements of AS 32.11.010, and 10.55.405 as an attachment. ITEM 6: The Statement of Conversion must be signed on behalf of the converting (changing from) entity (listed in Item #1 above) in the following manner: If the converting entity is a corporation, it must be signed by an officer of the corporation. If the converting entity is not a corporation, it must be signed by the person authorized by said entity. If the converting entity is in the hands of a receiver, trustee, or other court-appointed fiduciary, it must be signed by said fiduciary. If the converting entity is currently on record with this division (has an AK Entity Number) and the signer is an official of the entity then the signer must be currently on record with this division. Provide the printed name of the signer, the full title/capacity of the authorized signer, the name of the entity that the individual is representing, and signature of the individual authorized to sign. NOTE - Signatures: Per AS 10.55.609, persons who sign documents to be filed with the commissioner that are known by the person to be false in material respects are guilty of a class A misdemeanor. NOTE - Plan of Conversion -OR- Statement of Conversion: Do not send both together. Submit either the Statement of Conversion OR the plan of conversion that is signed on behalf of all entities and contains all the information required to be in the Statement of Conversion and is delivered to the Division for filing after the plan has been adopted and approved by all entities. Sending both the plan of conversion and the Statement of Conversion together may cause delays in processing time. American LegalNet, Inc. www.FormsWorkFlow.com Statement of Conversion: Any Entity Converting to Domestic Limited Partnership 08-0581 New 07/01/2014 Instructions Page 3 of 4 SUBMITTAL: Please submit forms and payment together. Mail the Statement of Conversion (form 08-581) and the $175.00 non-refundable filing fee in U.S. dollars to: o State of Alaska, Corporations Section, PO Box 110806, Juneau, AK 99811-0806 If faxing the form please include the Credit Card Payment form with the appropriate fees. Do not email forms or payment. STANDARD PROCESSING TIME for complete and correct applications submitted to this office is approximately 10-15 business days. All applications are reviewed in the date order they are received. INSTRUCTIONS FOR CERTIFICATE OF LIMITED PARTNERSHIP These instructions are specific for the Certificate of Limited Partnership which must be attached to the Statement of Conversion (form 08-581) ITEM 1: Name of Limited Partnership Provide the name of the domestic (Alaskan) limited partnership: The name of a limited partnership as set out in its certificate of limited partnership must contain without abbreviation the words 223limited partnership224; May not contain the name of a limited partner unless it is also the name of a general partner or the corporate name of a corporate general partners; or the business of the limited partnership had been carried on under that name before the admission of that limited partner. A name must be distinguishable upon the record. To search the availability of the legal name of the corporation in the State of Alaska go to the above websi